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General NPI Number Information
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NPI Number | 1104584937
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Entity Type | Individual
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Provider Name | EMILY VICTORIA PRESBREY MS, RD, LDN
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Gender | Female
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Dates
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Enumeration Date | 11/29/2021
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Last Update Date | 11/29/2021
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Provider Practice Location Address
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Address Line | 535 S WASHINGTON ST
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City | NAPERVILLE
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State | IL
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Zip | 60540-6795
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Country | US
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Telephone | 331-305-3998
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Fax |
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Provider Business Mailing Address
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Address Line | 6S546 DENSMORE RD
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City | AURORA
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State | IL
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Zip | 60506-8913
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Country | US
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Telephone | 847-452-8759
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 164.007070
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License Number State | IL
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